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All Journal BALI MEDICAL JOURNAL (BMJ) Jurnal Kedokteran Syiah Kuala Indonesian Journal of Tropical and Infectious Disease Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Syntax Literate: Jurnal Ilmiah Indonesia J-Dinamika: Jurnal Pengabdian Kepada Masyarakat Jurnal Biomedika dan Kesehatan Jurnal Respirasi (JR) JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Jurnal Abdi Insani Majalah Biomorfologi (Biomorphology Journal) Jurnal Layanan Masyarakat (Journal of Public Service) Journal of Clinical Microbiology and Infectious Diseases Jurnal Widya Medika
Deby Kusumaningrum
Faculty Of Medicine, Universitas Airlangga
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THE ANTI-TB DRUG SENSITIVITY OF Mycobacterium tuberculosis FROM CEREBROSPINAL FLUID AND BONE TISSUE BIOPSY SPECIMENS OF PATIENTS SUSPECTED TUBERCULOUS MENINGITIS AND SPINAL TB IN Dr SOETOMO HOSPITAL INDONESIA Mertaniasih, Ni Made; Kusumaningrum, Deby; Koendhori, Eko Budi; Harijono, Sugeng; Arky, Catur Endra; Putri, Jayanti; Urifah, Hanik
Indonesian Journal of Tropical and Infectious Disease Vol 5, No 3 (2014)
Publisher : Institute of Topical Disease

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Abstract

Tuberculous meningitis (TBM) is an infection of meningens which potentially life threatening with significant morbidity and mortality. Spinal TB has the same problem with TBM, infection in bone and joint, the delayed diagnosis worsens the prognosis. The rapid and accurate diagnosis plus promt adequate treatment is essential for the good outcome. The aim of this research is to study thefirst line drug sensitivity of Mycobacterium tuberculosis isolated from specimens of cerebrospinal fluid from suspected tuberculous meningitis patients and bone tissue biopsy from suspected spinal TB patients. The method of this research is TB Laboratory examination in Department of Clinical Microbiology – Dr. Soetomo General Hospital, Indonesia, using the gold standard liquid culture method MGIT 960 System (Becton Dickinson) and solid culture method with Lowenstein-Jensen medium. The specimens CSF from 50 TBM patients at January 2013 until May 2014. Positive isolate detection of Mycobacterium tuberculosis complex were 11 isolates (22%), which sensitivity 100% (11/11 isolates) to Rifampin (R), Pyrazinamide (Z), Ethambutol (E), and Streptomycin (S); one isolate resistant to Isoniazid, sensitivity to Isoniazid 90,90% (10/11); and received 21 specimens of bone tissue biopsy which positive 5 isolates(23%), all isolates sensitive 100% (5/5 isolates) to Rifampin and Pyrazinamide, and 1 isolates resistant to Isoniazid, Ethambutol, and Streptomycin, in which sensitivity 80% (4/5 isolates) to Isoniazid, Ethambutol, and Streptomycin. The conclusion of this research is positivity detection 22% of CSF specimens, and 23% of bone tissue biopsy were low. All isolates sensitive 100% to Rifampin and Pyrazinamide, and 80-90% sensitive to Isoniazid.
SPECIFIC GYRB SEQUENCE OF MYCOBACTERIUM TUBERCULOSIS CLINICAL ISOLATED FROM SPUTUM OF PULMONARY TUBERCULOSIS PATIENTS IN INDONESIA Mertaniasih, Ni Made; Wiqoyah, Nurul; Kusumaningrum, Deby; Soedarsono, S.; Perwitasari, Agnes Dwi Sis; Artama, Wayan Tunas
BALI MEDICAL JOURNAL Vol 3 No 3 (2014)
Publisher : BALI MEDICAL JOURNAL

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Abstract

Background: Indonesia have many different geographic areas which could be various on the variant strains of Mycobacterium tuberculosis. The gyrB gene codes GyrB protein as sub unit compound of Gyrase enzyme that functioning in multiplication of bacteria. Detection of gyrB gene could be a marker of active multiplication of viable bacteria in the specimen from patients; and some of the DNA sequence regions were conserved and specific in the strain of Mycobacterium tuberculosis that would be a marker for identification. This research aims to analyze the sequence of gyrB gene of Mycobacterium tuberculosis clinical isolates from sputum of pulmonary TB patients in Indonesia, and determine the specific region. Method: Mycobacterium tuberculosis clinical isolates have been collected from sputum of the patients with pulmonary TB that live in some area in Indonesia. Isolation and identification of Mycobacterium tuberculosis clinical isolates using standard culture method; sequence analysis using PCR-direct sequencing of the part bases region of gyrB. Results: this study revealed that nucleotide sequence on a fragment 764 bases of gyrB gene Mycobacterium tuberculosis strains among clinical isolates almost identically to a wild type strain Mycobacterium tuberculosis H37Rv and subspecies member of Mycobacterium tuberculosis complex (MTBC), with a little difference of SNPs; there are many difference nucleotide sequence with MOTT and Gram positive or negative bacteria, except Corynebacterium diphtheria identically with MTBC. Conclusion: the gyrB sequence in Mycobacterium tuberculosis strains among these clinical isolates from sputum of pulmonary TB patients in Indonesia have the conserved specific DNA region that almost identically with wild type strain H37Rv and MTBC.
IN VITRO TEST: Antimicrobial Activity Potential From Ciplukan Fruit (Physalis minima L.) Extract in Methicillin-resistant Staphylococcus aureus (MRSA) Muhammad Hanun Mahyuddin; Arifa Mustika; Gwenny Ichsan Prabowo; Deby Kusumaningrum
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 4, No 2 (2020)
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v4i2.3645

Abstract

In Indonesia, in 2006 the prevalence of infections due to MRSA was 23.5%. Physalis minima L. plants are known to have antimicrobial activity because they contain compounds withaferin A which can induce programmed cell death. This research was to determine the minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of Ciplukan (Physalis minima L.) extract in Methicillin-resistant Staphylococcus aureus (MRSA) bacteria. Dilution test with Mueller-Hinton broth medium used for measuring the minimum inhibitory concentration (MIC). Ciplukan  fruit extract was dissolved in distilled water, and poured into a test tube with a certain concentration (0.9 g/mL (90%); 0.3 g/mL (45%); 0.15 g/mL (22.5%); 0.075 g/mL (11.25%) and 0.0375 g/mL (5.625%). After being incubated for 24 hours, the bacteria in the test tube were plated on nutrient agar plates, to determine the MBC. The MIC cannot be determined, because the solution in the dilution test tube is disturbed by the color of the extract so that turbidity cannot be observed. From the observations of the minimum bactericidal concentration MBC of the Ciplukan (Physalis minima  L.) fruit extract against MRSA was in the P1 tube or equivalent to 0.9 g / ml (90%).
Hubungan penurunan kadar CD4 dengan pola kepekaan mycobacterium tuberculosis terhadap rifampisin pada pasien Ko-Infeksi Tb-HIV di RSUD dr. Soetomo Surabaya Firsta Wahono Febrianto; Deby Kusumaningrum; Arifa Mustika
Jurnal Kedokteran Syiah Kuala Vol 19, No 1 (2019): Volume 19 Nomor 1 April 2019
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v19i1.9133

Abstract

Latar Belakang: Mycobacterium tuberculosis banyak menimbulkan masalah kesehatan yang kompleks. Salah satu penyakit yang ditimbulkan adalah Tuberkulosis (TB). Obat untuk mengatasi Tuberkulosis disebut Obat Anti Tuberkulosis (OAT). Namun, sudah banyak Mycobacterium tuberculosis yang mengalami resistensi ganda terhadap obat lini pertama tersebut yang disebut MDR-TB (Multi-drug Resistant TB). Peningkatan kasus MDR-TB kemungkinan disebabkan oleh salah satu faktor risiko TB yaitu infeksi HIV (ko-infeksi TB-HIV). Sayangnya, ada tidaknya hubungan dari infeksi HIV, yang menurunkan kadar CD4, dengan pola kepekaan dari Mycobacterium tuberculosis terhadap Rifampisin di Indonesia belum diketahui secara pasti.Tujuan: Mengetahui hubungan penurunan kadar CD4 dengan pola kepekaan Mycobacterium tuberculosis terhadap Rifampisin pada pasien ko-infeksi TB-HIV di RSUD Dr. Soetomo SurabayaMetode Penelitian: Penelitian ini menggunakan desain penelitian analitik observasional menggunakan studi analitik dengan rancangan cross-sectional. Diperoleh 32 sampel dari rekam medis pasien ko-infeksi TB-HIV di RSUD Dr. Soetomo Surabaya periode 1 Januari - 31 Desember 2016. Data dianalisis dengan uji Chi Square menggunakan aplikasi SPSS.Hasil Penelitian dan Pembahasan: Hasil uji Chi Square antara penurunan kadar CD4 dan pola kepekaan Mycobacterium tuberculosis terhadap RIfampisin menunjukkan tidak adanya hubungan yang signifikan (p=0,544).Kesimpulan: Diperoleh hubungan yang tidak signifikan antara penurunan kadar CD4 (200 sel/mm3) dengan resistensi Mycobacterium tuberculosis terhadap Rifampisin pada pasien koinfeksi TB-HIV di RSUD Dr. Soetomo Surabaya periode Januari-Desember 2016. 
HUBUNGAN PENURUNAN KADAR CD4 DENGAN POLA KEPEKAAN MYCOBACTERIUM TUBERCULOSIS TERHADAP RIFAMPISIN PADA PASIEN KO-INFEKSI TB-HIV DI RSUD DR. SOETOMO SURABAYA Firsta Wahono Febrianto; Deby Kusumaningrum; Arifa Mustika
Jurnal Kedokteran Syiah Kuala Vol 19, No 1 (2019): Volume 19 Nomor 1 April 2019
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v19i1.18044

Abstract

Abstrak. Latar belakang Mycobacterium tuberculosis banyak menimbulkan masalah kesehatan yang kompleks. Salah satu penyakit yang ditimbulkan adalah Tuberkulosis (TB). Obat untuk mengatasi Tuberkulosis disebut Obat Anti Tuberkulosis (OAT). Namun, sudah banyak Mycobacterium tuberculosis yang mengalami resistensi ganda terhadap obat lini pertama tersebut yang disebut MDR-TB (Multi-drug Resistant TB). Peningkatan kasus MDR-TB kemungkinan disebabkan oleh salah satu faktor risiko TB yaitu infeksi HIV (ko-infeksi TB-HIV). Sayangnya, ada tidaknya hubungan dari infeksi HIV, yang menurunkan kadar CD4, dengan pola kepekaan dari Mycobacterium tuberculosis terhadap Rifampisin di Indonesia belum diketahui secara pasti.Tujuan: Mengetahui hubungan penurunan kadar CD4 dengan pola kepekaan Mycobacterium tuberculosis terhadap Rifampisin pada pasien ko-infeksi TB-HIV di RSUD Dr. Soetomo SurabayaMetode Penelitian: Penelitian ini menggunakan desain penelitian analitik observasional menggunakan studi analitik dengan rancangan cross-sectional. Diperoleh 32 sampel dari rekam medis pasien ko-infeksi TB-HIV di RSUD Dr. Soetomo Surabaya periode 1 Januari - 31 Desember 2016. Data dianalisis dengan uji Chi Square menggunakan aplikasi SPSS.Hasil Penelitian dan Pembahasan: Hasil uji Chi Square antara penurunan kadar CD4 dan pola kepekaan Mycobacterium tuberculosis terhadap RIfampisin menunjukkan tidak adanya hubungan yang signifikan (p=0,544).Kesimpulan: Diperoleh hubungan yang tidak signifikan antara penurunan kadar CD4 (200 sel/mm3) dengan resistensi Mycobacterium tuberculosis terhadap Rifampisin pada pasien koinfeksi TB-HIV di RSUD Dr. Soetomo Surabaya periode Januari-Desember 2016.Kata Kunci: ko-infeksi TB-HIV, Mycobacterium tuberculosis, resisten Rifampisin, CD4. Abstract. Background: Rifampicin-resistance Tuberculosis (TB) case rate is increasing every year, particularly in Indonesia. It is probably caused by the infection of Human Immunodeficiency Virus (HIV) on Tuberculosis patient, called TB-HIV co-infection. However, the association between HIV infection, which can cause decreasing of CD4, and Rifampicin-resistance Mycobacterium tuberculosis in TB-HIV co-infection patients is still not clearly yet. Objective: This study was undertaken to analyze the association between CD4 decreasing and Rifampicin resistance in TB-HIV co-infection patients of Dr. Soetomo General Hospital Surabaya.Methods: A retrospective research with cross-sectional method of TB-HIV co-infection patients’ medical record at Medical Record Center of Dr. Soetomo General Hospital Surabaya from 1 January to 31 December 2016 with 32 samples.Result: Chi Square test shows that there is no association (p=0,544) between CD4 decreasing and Rifampicin-resistance Mycobacterium tuberculosis in TB-HIV co-infection patients of Dr. Soetomo General Hospital Surabaya.Conclusion: There is no association between CD4 decreasing and Rifampicin-resistance Mycobacterium tuberculosis in TB-HIV co-infection patients.Keywords: TB-HIV co-infection, Mycobacterium tuberculosis, Rifampicin resistance, CD4.
Prevalence of Pneumonia Severity in Children under 5 Years Old at Primary Health Care of Tambakrejo, Surabaya Shofia Ihtasya; Retno Asih Setyoningrum; Deby Kusumaningrum
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 12 No. 1 (2021): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V12I12021.26-28

Abstract

Introduction: Pneumonia is the world-leading cause of death in children under five years old and most prevalent in developing country. Proper initial diagnosis will determine further management, because pneumonia and severe pneumonia have different treatment. The aim of this study was to describe the prevalence of pneumonia severity in children under five years old at primary health setting. Methods: This study was a cross – sectional descriptive study on medical records of children aged 2 to 59 months with pneumonia at primary health care of Tambakrejo, Surabaya from September to December 2017. Severity of pneumonia is classified using its clinical sign such as fast breathing, fever, chest indrawing, and general danger sign. The data were processed using Microsoft Office Excel and statistically analyzed with SPSS IBM 20. Results: There were 31 respondents that were diagnosed with pneumonia at primary health care of Tambakrejo, Surabaya from September to December 2017. Most of the children diagnosed with pneumonia were aged 12 to 59 months (61.3%) and 22.6 % of the children had severe pneumonia. Conclusion: Distribution of severity case of pneumonia at primary health care of Tambakrejo, Surabaya showed that there were more case of pneumonia with fast breathing than severe pneumonia or pneumonia with any general danger sign. Most of them were diagnosed at 12 to 59 months with a good nutritional status.
PERAN LABORATORIUM MIKROSKOPIS TB DI PUSTU PULAU MANDANGIN SAMPANG MADURA Ni Made Mertaniasih; Eko Budi Koendhori; Deby Kusumaningrum; Pepy Dwi Endraswari; Djohar Nuswantoro; Soedarsono Soedarsono
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 1 No. 1 (2017): Jurnal Layanan Masyarakat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3919.51 KB) | DOI: 10.20473/jlm.v1i1.2017.16-21

Abstract

Mandangin Island is one of the endemic areas of Pulmonary TB in Sampang. Island with an area of about 2 km2 and a population of more than 16 thousand inhabitants, has a high incidence of pulmonary TB. Based on reports from Head of Puskesmas, 57 of every 100 patients who came for treatment were Pulmonary TB patients. The problem is then required the role of TB laboratory for the diagnosis of TB in Pustu I. The method of implementation is done by FGD and mentoring. The results obtained in the implementation of community service is a feed back report and the proposed increase in the role of function of Pustu Mandangin I for the basic process can be PPM, and Pustu II as the preparation laboratory of sputum preparation of suspect tuberculosis patients. Both Pustu in TB laboratory network become the responsibility of Puskesmas Banyuanyar Sampang, as part of national TB laboratory network. It is important to maintain the quality of TB laboratories in TB diagnosis. AbstrakPulau Mandangin merupakan salah satu wilayah endemis TB Paru di Kabupaten Sampang. Pulau dengan dengan luas wilayah sekitar 2 km2 dan berpenduduk lebih dari 16 ribu jiwa, memiliki insidensi TB Paru yang tinggi. Berdasarkan laporan Kepala Puskesmas, sebanyak 57 dari tiap 100 pasien yang datang berobat adalah pasien TB Paru. Permasalahanya kemudian diperlukan peran laboratorium TB untuk penegakan diagnosis TB di Pustu I. Metode pelaksanaan dilakukan dengan cara FGD dan pendampingan. Hasil yang diperoleh dalam pelaksanaan pengabdian masyarakat ini adalah suatu laporan feed back dan usulan peningkatan peran fungsi Pustu Mandangin I untuk dasar proses dapat menjadi PPM, dan Pustu II sebagai laboratorium preparasi sediaan dahak pasien suspect TB. Kedua Pustu dalam jejaring laboratorium TB menjadi tanggung jawab Puskesmas Banyuanyar Sampang, sebagai bagian jejaring laboratorium TB nasional. Sangat penting menjaga mutu laboratorium TB dalam penegakan diagnosis TB. 
Tuberculous Meningitis: The Microbiological Laboratory Diagnosis and Its Drug Sensitivity Patterns Titiek Sulistyowati; Deby Kusumaningrum; Eko Budi Koendhori; Ni Made Mertaniasih
Jurnal Respirasi Vol. 3 No. 2 (2017): Mei 2017
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (480.609 KB) | DOI: 10.20473/jr.v3-I.2.2017.35-40

Abstract

Background: Tuberculosis continues one of the major challenges to global health. Mycobacterium tuberculosis complex can affect any organ other than the lung parenchyma, include central nervous system. The mortality rate of tuberculous meningitis (TBM) are high worldwide with up to half of survivors suffering irreversible sequelae. Diagnosis of TBM is difficult due to paucibacillary, various clinical manifestation, and invasive procedure to appropriate specimens. Objective: The objectiveis to study the positivity rate of microbiological laboratory diagnosis and its drug sensitivity patterns of TBM patients in Dr. Soetomo Hospital Surabaya during October 2015 until September 2016. Methods: Specimens were cerebrospinal fluids. Identification and drug anti TB sensitivity test were done by BACTEC MGIT 960 system in Clinical Microbiology Laboratory Dr. Soetomo Hospital Surabaya. Result: Most patients with TBM were women (54.29%). Based on age groups, most dominant was adult population (65.71%). Proportion percentage of positive M. tuberculosis complex among 180 specimens were 19.44%. First line anti TB drug sensitivity pattern of 35 isolates were 1 monoresistant, 1 poly-resistant, no multiple drug resistant (MDR), and 33 pan-susceptible. Conclusion: Positivity rate of Mycobacterium tuberculosis complex laboratory diagnosis from TBM suspect patients were low. There was no MDR TB in this study, but mono-resistant and poly-resistant. Microbiological diagnosis was important to give information of active disease and drug sensitivity pattern. Resistance to first line anti TB drugs is alarming to properly manage TBM patients.
The The circulation of sars-cov-2 virus inward environment of covid-19 intensive care unit, Dr. Soetomo Hospital Surabaya Eko B. Koendhori; L. Alimsardjono; S. R. S. Oktaviani; A. M. Widya; Deby Kusumaningrum; Naritha; N. D. Kurniati; P. N. Endraputra; K. Kuntaman
Journal of Clinical Microbiology and Infectious Diseases Vol. 2 No. 1 (2022): Availabel Online: June 2022
Publisher : Indonesian Society for Clinical Microbiology (Perhimpunan Dokter Spesialis Mikrobiologi Klinik Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jcmid.v2i1.15

Abstract

Introduction: The big problem to overcome COVID-19 transmission is to suppress the viral particle circulation in the air and environment. A severe case of COVID-19 is commonly managed in a negative pressure ICU ward. Covid-ICU room in Dr. Soetomo hospital is a negative pressurized room comprising 5 rooms with an occupancy of 2 beds per room. Meanwhile, the patient’s environment is still possibly contaminated by the virus due to airborne transmission of the virus having tiny particles so the virus can easily spread through the patient’s environment. Thus, the purpose of this study is to evaluate the presentation of the SARS-CoV-2 virus, that was contaminating the room air, floor, and other surfaces inside the Covid-ICU. Method: The study was a cross-sectional descriptive study. The biological sample that analyzes was air. The air samples were taken from all areas including ante-room, patient room, gallery, clothing room, nurse station, and ICU area outside the room using an air sampler (As82 PURIVA H1) with a capacity of 200 m2/hour. The virus filter was put in the port of air entry, after air suction for 2 hours, it was immersed in VTM and continued for rtRT-PCR (real-time Reverse Transcriptase PCR) examination. Surfaces samples were taken by swabbing on the floor, bed cover, door handle, medical equipment, wall, and other equipment. They were swabbed for 5 specimens per location. After data was collected, it analyzes descriptively by using SPSS ver.25 Results: A total of 39 air samples were collected and examined with an RT-PCR machine, 5 (12.8%) positive namely 2 samples from the gallery and 3 from one room, whereas from 30 surfaces, 1 (3.3%) positive, from a sample of the bed cover. Conclusion: The SARS-CoV-2 virus is identified in the air and surface of Covid-ICU wards, indicating the risk for Covid-19 transmission. It is important for Infection Prevention and Control (IPC) policy implementation in a clinical setting.
PREVALENCE OF DIABETES MELLITUS WITH PULMONARY TUBERCULOSIS IN DR. SOETOMO GENERAL ACADEMIC HOSPITAL, SURABAYA, INDONESIA 2016 Heronimus Hansen Kaware; Deby Kusumaningrum; Arief Bakhtiar
Majalah Biomorfologi Vol. 32 No. 1 (2022): MAJALAH BIOMORFOLOGI
Publisher : Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mbiom.v32i1.2022.18-21

Abstract

Highlight: 1. The signs and symptoms of patients with pulmonary tuberculosis and those of diabetes mellitus were similar.2. Male, aged 51-75 years old, and working in private sector are characteristics of most of the diabetic patients with pulmonary tuberculosis. Abstract: Background: Diabetes Mellitus is a type of disorder where the patients' blood sugar is above average. Diabetes Mellitus can cause an abundance of comorbidities, from viral infection until metabolic abnormalities. The increased risk of infections is mostly because diabetes mellitus changes how the body works. The changes range from changes in mechanical barriers (humoral immunity) and cellular changes (cellular immunity), the changes of the humoral immunity that can increase the chance of protracting pulmonary tuberculosis. Objective: The purpose of this study was to describe the characteristics of diabetes mellitus in pulmonary tuberculosis in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia from January to December 2016. Materials and Methods: The research method used was an observational study using a cross-sectional design conducted in Central Medical Record for hospitalized patients, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. The diabetes mellitus patients' data collected from the medical records of Dr. Soetomo General Academic Hospital, Surabaya, Indonesia in 2016 were 1,410 and 11 of them were also diagnosed with pulmonary tuberculosis. The final data taken were from 67 out of 115 patients due to the incomplete medical record. Results: According to the data, the most of the diabetic patients with pulmonary tuberculosis were male, age of 51-75 years old, and worked in private sector. Conclusion: There was a significantly higher number of diabetes mellitus withpulmonary tuberculosis patients in older age, males,and private-sector workers. Diabetic patients with pulmonary tuberculosis weremostlymale,aged 51-75 years old, andworked in private sector.
Co-Authors A. M. Widya Agnes Dwi Sis Perwitasari, Agnes Dwi Sis Agung Dwi Wahyu Widodo Alimsardjono, Lindawati Ananda, I Gede Yogi Prema Andy Setiawan Arifa Mustika Bakhtiar, Arief Bramantono Bramantono, Bramantono Catur Endra Arky, Catur Endra Eko B. Koendhori Eko Budi Koendhori, Eko Budi Firsta Wahono Febrianto Firsta Wahono Febrianto Hanik Urifah, Hanik Heronimus Hansen Kaware Indah Setyawati Tantular, Indah Setyawati Jayanti Putri, Jayanti Juita, Liza Puspa Senja Asmara Kadariswantiningsih, Ika Kuntaman Kuntaman L. Alimsardjono Lestari, Aprilia Dwi ManikRetno Wahyunitisari Muhammad Hanun Mahyuddin N. D. Kurniati Nabila, Nabila Naritha Ni Made Mertaniasih Nurul Wiqoyah, Nurul Nuswantoro, Djohar P. N. Endraputra Pepy Dwi Endraswari, Pepy Dwi Prabowo, Gwenny Ichsan Rebekah Setiabudi, Rebekah Retno Asih Setyoningrum Rifat Nurwita Kusumaningtyas Rina K Kusumaratna S. R. S. Oktaviani S. Soedarsono Shofia Ihtasya Silvia Sutandhio Soedarsono Soedarsono Sugeng Harijono, Sugeng Titiek Sulistyowati Titiek Sulistyowati Wayan Tunas Artama Yitijuatni Yudayanti, Elprania Credo